| NPI | 1053372409 |
|---|---|
| Former Name | LINDA LEE PANNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5495) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 1887) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-02-13 |